Carol E Davis, M.D. Medical Clinic of Ophthalmology, Inc.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G50376 Issued in CA

Legal business name

CAROL E DAVIS, M.D. MEDICAL CLINIC OF OPHTHALMOLOGY, INC.

Practice address

1807 Wilshire Blvd
Ste. 203
Santa Monica, CA 90403-5652

Phone

(310) 829-0160

Fax

(310) 829-0170

NPI assigned

Jun 18, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carol E Davis, M.D.

Title

President

Phone

(310) 564-6507

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pina K Wong, MD

  • Infectious Disease Physician
  • Monterey Park, CA
  • NPI 1730157504
  NPD (past)
• Dana K Yuen, M.D.

  • Ophthalmology Physician
  • Monterey Park, CA
  • NPI 1972534634
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276819200000",
    "number": "1336460864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 WILSHIRE BLVD",
            "address_2": "STE. 203",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035652",
            "telephone_number": "310-829-0160",
            "fax_number": "310-829-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 WILSHIRE BLVD",
            "address_2": "STE. 203",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035652",
            "telephone_number": "310-829-0160",
            "fax_number": "310-829-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL E DAVIS, M.D. MEDICAL CLINIC OF OPHTHALMOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-18",
        "last_updated": "2010-06-18",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-564-6507",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G50376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sari Susanna Carlson, LCSW
• Sophie Gabrielle Carlson, MD
• Courtney Dane Carmichael, NURSE PRACTITIONER
• Timothy J Carmody, M. D.
• Dwayne Donovan Carney, MD
• Carol M Lazo, Licensed Professional Clinical Counselor P.C.
• Caroline M Colin, MD PC
• Tiffany Caronia, DPT
• Erin Carr, DPT
• Jennifer Reynolds Carr, DPT

• Ophthalmology Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.